Billing code 76145: Dose evaluationMedicare rate & RVUs
A medical physicist evaluates radiation exposure from diagnostic imaging or radiation therapy, typically when an event requires a focused dose assessment.
Medicare pays $1,039.10 for 76145 nationally in the office. Local office rates run $886.73–$1,482.95.
Medicare rate · 76145
Dose evaluation
Swap in your local Medicare rate.
- Work RVUs
- 0
- Total RVUs
- 31.11
- Global days
- XXX
National rate · 2026
$1,039.10
Office setting, before claim adjustments.
See every locality for 76145 → · Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 76145 covers
A medical physicist reconstructs or evaluates the radiation dose associated with a specific exposure, using relevant imaging or treatment details and patient information. The service may follow a concern about an unusual or unintended exposure from a CT examination, another diagnostic imaging procedure, or radiation therapy. It is a focused physics evaluation, not the routine dose calculation performed as part of ordinary imaging or treatment planning.
Report this code for the technical dose-evaluation work, supported by documentation identifying the exposure and the data reviewed or used in the assessment. The CMS physician fee schedule classifies it as technical-component-only: a separate code covers interpretation. Keep the technical evaluation distinct from the clinical interpretation and document the resulting dose assessment or report. The supplied CMS rules identify no add-on, global-period, or multiple-procedure payment instruction for this code.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 76145 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$886.73 to $1482.95
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $903.95 | Unavailable |
| Alaska* | $1,097.89 | Unavailable |
| Arizona | $1,004.96 | Unavailable |
| Arkansas | $886.73 | Unavailable |
| Atlanta | $1,058.88 | Unavailable |
| Austin | $1,096.44 | Unavailable |
| Bakersfield | $1,130.56 | Unavailable |
| Baltimore/Surr. Cntys | $1,117.75 | Unavailable |
| Beaumont | $945.91 | Unavailable |
| Brazoria | $1,026.16 | Unavailable |
| Chicago | $1,066.27 | Unavailable |
| Chico | $1,129.32 | Unavailable |
| Colorado | $1,100.78 | Unavailable |
| Connecticut | $1,121.38 | Unavailable |
| Dallas | $1,032.59 | Unavailable |
| Dc + Md/Va Suburbs | $1,222.95 | Unavailable |
| Delaware | $1,025.12 | Unavailable |
| Detroit | $1,015.02 | Unavailable |
| East St. Louis | $974.61 | Unavailable |
| El Centro | $1,129.40 | Unavailable |
| Fort Lauderdale | $1,066.15 | Unavailable |
| Fort Worth | $1,022.60 | Unavailable |
| Fresno | $1,129.32 | Unavailable |
| Galveston | $1,029.02 | Unavailable |
| Hanford-Corcoran | $1,129.32 | Unavailable |
| Hawaii, Guam | $1,171.95 | Unavailable |
| Houston | $1,038.35 | Unavailable |
| Idaho | $948.36 | Unavailable |
| Indiana | $955.74 | Unavailable |
| Iowa | $941.95 | Unavailable |
| Kansas | $932.53 | Unavailable |
| Kentucky | $924.20 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $1,220.42 | Unavailable |
| Madera | $1,129.32 | Unavailable |
| Manhattan | $1,214.66 | Unavailable |
| Merced | $1,129.32 | Unavailable |
| Metropolitan Boston | $1,235.51 | Unavailable |
| Metropolitan Kansas City | $976.36 | Unavailable |
| Metropolitan Philadelphia | $1,084.29 | Unavailable |
| Metropolitan St. Louis | $990.08 | Unavailable |
| Miami | $1,107.05 | Unavailable |
| Minnesota | $1,056.75 | Unavailable |
| Mississippi | $892.59 | Unavailable |
| Modesto | $1,129.32 | Unavailable |
| Montana** | $1,039.07 | Unavailable |
| Napa | $1,355.74 | Unavailable |
| Nebraska | $949.81 | Unavailable |
| Nevada** | $1,037.28 | Unavailable |
| New Hampshire | $1,078.88 | Unavailable |
| New Mexico | $957.69 | Unavailable |
| New Orleans | $981.12 | Unavailable |
| North Carolina | $964.47 | Unavailable |
| North Dakota** | $1,028.98 | Unavailable |
| Northern Nj | $1,203.79 | Unavailable |
| Nyc Suburbs/Long Island | $1,246.87 | Unavailable |
| Ohio | $950.32 | Unavailable |
| Oklahoma | $925.94 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $1,218.70 | Unavailable |
| Portland | $1,148.19 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $1,139.78 | Unavailable |
| Puerto Rico | $1,050.09 | Unavailable |
| Queens | $1,232.65 | Unavailable |
| Redding | $1,129.32 | Unavailable |
| Rest Of California | $1,129.32 | Unavailable |
| Rest Of Florida | $1,002.70 | Unavailable |
| Rest Of Georgia | $931.99 | Unavailable |
| Rest Of Illinois | $959.77 | Unavailable |
| Rest Of Louisiana | $920.85 | Unavailable |
| Rest Of Maine | $950.90 | Unavailable |
| Rest Of Maryland | $1,049.97 | Unavailable |
| Rest Of Massachusetts | $1,089.81 | Unavailable |
| Rest Of Michigan | $952.38 | Unavailable |
| Rest Of Missouri | $897.61 | Unavailable |
| Rest Of New Jersey | $1,134.78 | Unavailable |
| Rest Of New York | $982.94 | Unavailable |
| Rest Of Oregon | $1,029.95 | Unavailable |
| Rest Of Pennsylvania | $954.36 | Unavailable |
| Rest Of Texas | $985.32 | Unavailable |
| Rest Of Washington | $1,089.20 | Unavailable |
| Rhode Island | $1,070.99 | Unavailable |
| Riverside-San Bernardino-Ontario | $1,134.72 | Unavailable |
| Sacramento-Roseville-Folsom | $1,197.80 | Unavailable |
| Salinas | $1,193.71 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $1,231.63 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $1,448.93 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $1,448.35 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $1,482.95 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $1,480.58 | Unavailable |
| San Luis Obispo-Paso Robles | $1,173.27 | Unavailable |
| Santa Cruz-Watsonville | $1,250.94 | Unavailable |
| Santa Maria-Santa Barbara | $1,200.86 | Unavailable |
| Santa Rosa-Petaluma | $1,264.23 | Unavailable |
| Seattle (King Cnty) | $1,267.99 | Unavailable |
| South Carolina | $958.87 | Unavailable |
| South Dakota** | $1,027.79 | Unavailable |
| Southern Maine | $1,023.62 | Unavailable |
| Stockton | $1,129.32 | Unavailable |
| Suburban Chicago | $1,079.85 | Unavailable |
| Tennessee | $938.21 | Unavailable |
| Utah | $976.04 | Unavailable |
| Vallejo | $1,354.90 | Unavailable |
| Vermont | $1,020.47 | Unavailable |
| Virgin Islands | $1,050.09 | Unavailable |
| Virginia | $1,016.72 | Unavailable |
| Visalia | $1,129.32 | Unavailable |
| West Virginia | $912.55 | Unavailable |
| Wisconsin | $984.39 | Unavailable |
| Wyoming** | $1,034.67 | Unavailable |
| Yuba City | $1,129.32 | Unavailable |
76145 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$886.73
$1,306.14
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,097.89 | 1 |
| AL | $903.95 | 1 |
| AR | $886.73 | 1 |
| AZ | $1,004.96 | 1 |
| CA | $1,129.32–$1,482.95 | 29 |
| CO | $1,100.78 | 1 |
| CT | $1,121.38 | 1 |
| DC | $1,222.95 | 1 |
| DE | $1,025.12 | 1 |
| FL | $1,002.70–$1,107.05 | 3 |
| GA | $931.99–$1,058.88 | 2 |
| GU | $1,171.95 | 1 |
| HI | $1,171.95 | 1 |
| IA | $941.95 | 1 |
| ID | $948.36 | 1 |
| IL | $959.77–$1,079.85 | 4 |
| IN | $955.74 | 1 |
| KS | $932.53 | 1 |
| KY | $924.20 | 1 |
| LA | $920.85–$981.12 | 2 |
| MA | $1,089.81–$1,235.51 | 2 |
| MD | $1,049.97–$1,222.95 | 3 |
| ME | $950.90–$1,023.62 | 2 |
| MI | $952.38–$1,015.02 | 2 |
| MN | $1,056.75 | 1 |
| MO | $897.61–$990.08 | 3 |
| MS | $892.59 | 1 |
| MT | $1,039.07 | 1 |
| NC | $964.47 | 1 |
| ND | $1,028.98 | 1 |
| NE | $949.81 | 1 |
| NH | $1,078.88 | 1 |
| NJ | $1,134.78–$1,203.79 | 2 |
| NM | $957.69 | 1 |
| NV | $1,037.28 | 1 |
| NY | $982.94–$1,246.87 | 5 |
| OH | $950.32 | 1 |
| OK | $925.94 | 1 |
| OR | $1,029.95–$1,148.19 | 2 |
| PA | $954.36–$1,084.29 | 2 |
| PR | $1,050.09 | 1 |
| RI | $1,070.99 | 1 |
| SC | $958.87 | 1 |
| SD | $1,027.79 | 1 |
| TN | $938.21 | 1 |
| TX | $945.91–$1,096.44 | 8 |
| UT | $976.04 | 1 |
| VA | $1,016.72–$1,222.95 | 2 |
| VI | $1,050.09 | 1 |
| VT | $1,020.47 | 1 |
| WA | $1,089.20–$1,267.99 | 2 |
| WI | $984.39 | 1 |
| WV | $912.55 | 1 |
| WY | $1,034.67 | 1 |
How the 76145 rate is calculated
Each of 76145’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 76145
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 30.60Malpractice 0.51
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 76145
The CMS indicators that decide how 76145 is paid alongside other services.
CMS payment indicators · 76145
Dose evaluation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
76145 compared with similar codes
Compare codes
76145 vs 76140 vs 77370 vs 77300: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 76140X-ray consultation
- 76140 is for consultation and interpretation of an x-ray examination made elsewhere. Use 76145 for a physicist’s technical evaluation of radiation dose from an exposure.
- 77370Radiation physics consult
- 77370 describes a special medical radiation physics consultation in radiation therapy. It is distinct from a focused evaluation of dose associated with a radiation exposure.
- 77300Dosimetry calculation
- 77300 is a basic radiation dosimetry calculation for treatment planning. 76145 evaluates dose associated with an exposure, such as an unusual or unintended one.
76145 billing questions
How is this different from an x-ray consultation?
This code represents a medical physicist’s evaluation of radiation dose from an exposure. An x-ray consultation concerns interpretation of an imaging examination made elsewhere.
Is the interpretation included in this code?
No. CMS classifies this as technical-component-only; a separate code covers interpretation.
Is routine imaging dose monitoring reported with this code?
The service is a focused evaluation of a specific exposure, rather than routine dose calculation or monitoring performed as part of ordinary imaging.
What documentation supports reporting it?
Document the exposure being evaluated, the relevant imaging or treatment information reviewed, and the physicist’s dose assessment.
How does this differ from a radiation therapy physics consultation?
This code addresses evaluation of radiation exposure. A special medical radiation physics consultation concerns a physics problem associated with radiation therapy care.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 76145 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →